Geriatric Medical Associates

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R111052 Issued in MD

Legal business name

GERIATRIC MEDICAL ASSOCIATES

Practice address

2434 W Belvedere Ave
Baltimore, MD 21215-5202

Phone

(410) 601-2246

Fax

(410) 601-2924

NPI assigned

Nov 7, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa Laray Stanton, MSN

Title

CRNP

Phone

(410) 601-2246

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821079997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155202",
            "telephone_number": "410-601-2246",
            "fax_number": "410-601-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155202",
            "telephone_number": "410-601-2246",
            "fax_number": "410-601-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LARAY",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "410-601-2246",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R111052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Gerber, MS CCC-SLP
• Jeffrey J Gerbino, M.D.
• Mary Louise Gercke, CRNP
• Steven Gercken, MD
• Bonnie J. Gerecke, M.D.
• Alan Mark Geringer, M.D.
• Heather Michelle Gerken, PA C
• Katherine Leigh Gerlach, CRNP
• Marion Gerlach
• Frances Germain

• Gerontology Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Gerontology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.